| NPI | 1245612142 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036146573) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125067814) |
| 207R00000X Internal Medicine (Licence: LA 337614) | |
| 208M00000X Hospitalist (Licence: IL 036146573) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: LA 337614) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: LA 337614) | |
| Enumeration Date | 2015-06-26 |
| Last Update Date | 2023-09-08 |